| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $291.75 | $307.13 | $330.63 | |
Cigna
| Facility | $458.59 | $458.59 | $458.59 | |
Cigna
| Professional | $334.77 | $334.77 | $458.59 | |
United
| Professional | $319.33 | $378.94 | $532.75 |